United States or Gabon ? Vote for the TOP Country of the Week !
Why a stone in the ureter, or bile-duct, produces vomiting. 10. Why after a voyage ideas of vibratory motions are perceived on shore. 11. Kinds of vertigo and their cure. 12. Definition of vertigo. In learning to walk we judge of the distances of the objects, which we approach, by the eye; and by observing their perpendicularity determine our own.
And thus the irritation of a stone in the bile-duct, or in the ureter, or an inflammation of any of the intestines, are accompanied with vomitings and vertigo. In these cases the irritative motions of the stomach, which are in general not attended to, become so changed by some unnatural stimulus, as to become uneasy, and excite our sensation or attention.
From the ingurgitation of spirituous liquors into the stomach and duodenum, the termination of the common bile-duct in that bowel becomes stimulated into unnatural action, and a greater quantity of bile is produced from all the secretory vessels of the liver, by the association of their motions with those of their excretory ducts; as has been explained in Section XXIV. and XXV. but as all parts of the body, that have been affected with stronger stimuli for any length of time, become less susceptible of motion, from their natural weaker stimuli, it follows, that the motions of the secretory vessels, and in consequence the secretion of bile, is less than is natural during the intervals of sobriety. 2.
The increased action of the primary part of these associated motions, as of the hepatic termination of the bile-duct; from the stimulus of a gall-stone, or of the interior termination of the urethra from the stimulus of a stone in the bladder, or lastly, of a decaying tooth in hemicrania, deprives the secondary part of these associated motions, namely, the exterior terminations of the bile-duct or urethra, or the pained membranes of the head in hemicrania, of their natural share of sensorial power: and hence the secondary parts of these sensitive trains of association become pained from the deficiency of their usual motions, which is accompanied with deficiency of secretions and of heat.
On a supposition that the obstruction of the bile might be owing to the paralysis, or torpid action of the common bile-duct, and the stimulants taken into the stomach seeming to have no effect, I directed half a score smart electric shocks from a coated bottle, which held about a quart, to be passed through the liver, and along the course of the common gall-duct, as near as could be guessed, and on that very day the stools became yellow; he continued the electric shocks a few days more, and his skin gradually became clear.
If this ingurgitation of spirituous liquors has been daily continued in considerable quantity, and is then suddenly intermitted, a languor or paralysis of the common bile-duct is induced; the bile is prevented from being poured into the intestines; and as the bilious absorbents are stimulated into stronger action by its accumulation, and by the acrimony or viscidity, which it acquires by delay, it is absorbed, and carried to the receptacle of the chyle; or otherwise the secretory vessels of the liver, by the above-mentioned stimulus, invert their motions, and regurgitate their contents into the blood, as sometimes happens to the tears in the lachrymal sack, see Sect.
This disease is attended with much pain, which at first is felt at the pit of the stomach, exactly in the centre of the body, where the bile-duct enters the duodenum; afterwards, when the size of the bile-stones increase, it is also felt on the right side, where the gall-bladder is situated.
The intrusion of a gall-stone into the common bile-duct from the gall-bladder is sometimes mistaken for a pain of the stomach, as neither of them are attended with fever; but in the passage of a gall-stone, the pain is confined to a less space, which is exactly where the common bile-duct enters the duodenum, as explained in Section XXX. 1. 3.
The bilious vomiting and purging, that affects some people by intervals of a few weeks, is a less degree of this disease; the bile-duct is less irritable than natural, and hence the bile becomes accumulated in the gall-bladder, and hepatic ducts, till by its quantity, acrimony or viscidity, a greater degree of irritation is produced, and it is suddenly evacuated, or lastly from the absorption of the more liquid parts of the bile, the remainder becomes inspissated, and chrystallizes into masses too large to pass, and forms another kind of jaundice, where the bile-duct is not quite paralytic, or has regained its irritability.
This kind of jaundice is not generally attended with pain, neither at the extremity of the bile-duct, where it enters the duodenum, nor on the region of the gall-bladder. Mr.
Word Of The Day